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�[handwritten]I Samuel Knap of Cirinth in the County of Penobscot yeoman do hereby testify on oath & say, that sometime in the month of April 1775 I inlisted into the service of the Revolutionary war for the term of one year, in Capt Moses Knaps Company, Col Reads Regt Genl Heaths Brigade, I think: We were stationed in Roxbury: I Rec'd a Regular Discharge on or about the first of February following: having served nearly ten months: I have lost my discharge if I had a written on: I am now under reduced circumstances, I need the assistance of my country for support.
Samuel Knap [signature]

[typed form with handwritten insertions]
Commonwealth of Massachusetts]
[obscured by seal]NOBSCOT, ss.
ON the 22d[handwritten] day of April[handwritten] A.D. 1818, before me the subscriber, one of the Judges of the Third Eastern Circuit, of the Court of Common Pleas, in said Commonwealth, including the Counties of Hancock, Washington and Penobscot: Personally appeared Samuel Knapp[handwritten] who, being by me first duly sworn according to law, on his oath made the statement and declaration by him subscribed, and hereto annexed, in order to obtain the provision made by the late act of Congress, entitled "An Act to provide for certain persons engaged in the land and naval service of the United States, in the revolutionary war."
And thereupon, I the said Judge do certify the said Samuel[handwritten] did serve in the revolutionary war, as stated in his said declaration, against the common enemy, and that he has made it appear to me, that he is in reduced circumstances, and stands in need of the assistance of his country for support.
Which proceedings and the testimony annexed, being all he has been able to produce, I now transmit to the Secretary, for the department of War, pursuant to the directions of the aforementioned act of Congress.
IN testimony whereof, I have hereunto set my name and caused the seal of said Court to be hereto affixed M. Kinsley[signature] Esquire, Judge of the Court as aforesaid.